Sarcoma Clinical Trial
Official title:
A PHASE II STUDY OF NEOADJUVANT CHEMOTHERAPY AND RADIATION THERAPY IN THE MANAGEMENT OF HIGH-RISK, HIGH-GRADE, SOFT TISSUE SARCOMAS OF THE EXTREMITIES AND BODY WALL
RATIONALE: Drugs used in chemotherapy use different ways to stop tumor cells from dividing
so they stop growing or die. Radiation therapy uses high-energy x-rays to damage tumor
cells. Combining radiation therapy with more than one chemotherapy drug may kill more tumor
cells.
PURPOSE: Phase II trial to study the effectiveness of combination chemotherapy plus
radiation therapy followed by surgery in treating patients who have soft tissue sarcoma.
OBJECTIVES: I. Assess whether patients with high-grade soft tissue sarcoma (STS) treated
with neoadjuvant mesna/doxorubicin/ifosfamide/dacarbazine (MAID) plus radiotherapy in a
cooperative group setting exhibit a response rate, toxicity, and complication rate
comparable to those seen in pilot data collected by the Massachusetts General Hospital. II.
Assess local control and local complications related to surgery and neoadjuvant MAID plus
radiotherapy in these patients. III. Develop a tissue repository of frozen STS for ancillary
genetic and flow cytometric analysis of these tumors. IV. Form an Intergroup Working Sarcoma
Group that will develop a patient base, relationships, and support for the future
development and completion of a phase III study of adjuvant therapy for STS.
OUTLINE: The following acronyms are used: DOX Doxorubicin, NSC-123127 DTIC Dacarbazine,
NSC-45388 EBRT External-Beam Radiotherapy (equipment unspecified) G-CSF Filgrastim;
Granulocyte Colony-Stimulating Factor (Amgen), NSC-614629 IFF Ifosfamide, NSC-109724 MAID
Mesna/DOX/IFF/DTIC Mesna Mercaptoethane sulfonate, NSC-113891 3-Drug Combination
Chemotherapy plus Radiotherapy followed by Surgery followed, if indicated, by Radiotherapy
followed by 3-Drug Combination Chemotherapy. MAID; plus EBRT to the primary tumor and
suspected microscopic disease; followed by minimal wide surgical excision; followed, if
positive margins, by postoperative EBRT; followed by MAID.
PROJECTED ACCRUAL: There will be 60 patients accrued into this study within 15 months.
;
Primary Purpose: Treatment
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